| NPI | 1881298446 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: VA 2202010181) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: VA 2204000508) |
| Enumeration Date | 2020-11-24 |
| Last Update Date | 2022-08-30 |